Hysteroscopy

A hysteroscopy can be used to diagnose or treat some problems within the uterus; usually abnormal bleeding. It is a thin, telescope-like device that is inserted into the uterus through the vagina and cervix. It is sometimes used with other instruments or techniques such as before a dilation and curettage (D&C) or with a laparoscopy.

One of the most common uses for hysteroscopy is to find the cause of abnormal uterine bleeding. Abnormal bleeding can mean that a woman’s menstrual periods are heavier or longer than usual or occur less or more frequently than normal. Bleeding between menstrual periods also is abnormal. In some cases, abnormal bleeding may be caused by benign (not cancer) growths in the uterus, such as fibroids or polyps.

Hysteroscopy also is used in the following situations:
  • Remove adhesions that may occur because of infection or from past surgery
  • Diagnose the cause of repeated miscarriage when a woman has more than two miscarriages in a row
  • Locate an intrauterine device (IUD)
  • Perform sterilization, in which the hysteroscope is used to place small implants into a woman’s fallopian tubes as a permanent form of birth control